Allen Lazerson

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000496 Issued in GA

Legal business name

ALLEN LAZERSON

Doing business as

A Family Podiatry Center

Practice address

1234 Powers Ferry Rd
Suite 103
Marietta, GA 30067-9414

Phone

(770) 951-8976

Fax

(770) 951-8988

NPI assigned

Jul 22, 2007

Last updated

Aug 14, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

A FAMILY PODIATRY CENTERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Allen Lazerson, DPMNPI 1710988779

Title

Owner

Phone

(770) 951-8976

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• A Family Podiatry Center Doing business as

Part of

A Family Podiatry Cente

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allen Lazerson, D.P.M.

  • Podiatrist
  • Riverview, FL
  • NPI 1710988779
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1205036829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 POWERS FERRY RD",
            "address_2": "SUITE 103",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679414",
            "telephone_number": "770-951-8976",
            "fax_number": "770-951-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 POWERS FERRY RD",
            "address_2": "SUITE 103",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679414",
            "telephone_number": "770-951-8976",
            "fax_number": "770-951-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN LAZERSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A FAMILY PODIATRY CENTER",
        "enumeration_date": "2007-07-22",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "LAZERSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-951-8976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "POD000496",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "000496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00296458A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Family Podiatry Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaniah Alishio, PA-A
• Turk Aljallal
• All Around ABA Ga LLC
• All-of-T LLC
• Allen Counseling Clinic LLC (Allen Counseling Clinic)
• Allen Surgical LLC
• Ashli Dian Allen
• Brennan Allen, APC, MA, NCC
• Charles Daniel Allen III, PSY.D.
• Chloe Winn Allen

• Podiatrist in Marietta, GA
• Providers in Marietta, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.